Individual provider · Type 1 NPI

Keandra Chante Gray

Student in an Organized Health Care Education/Training Program · Stephenville, TX

NPI number 1376017699 Active

Practice location

1333 W Washington St
Stephenville, TX 76401-4168

Call (254) 986-9000 Map

Mailing address

5410 Lions Gate Ln
Killeen, TX 76549-5623

Specialties and licenses

TaxonomyCodeLicense
Athletic Trainer 2255A2300X37587336 (TX)
Student in an Organized Health Care Education/Training Program Primary 390200000X37587336 (TX)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1376017699

Keandra Chante Gray's National Provider Identifier is 1376017699, issued on Jan 21, 2019. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Stephenville, TX. The record was last updated on Jan 21, 2019.